NCC000003_Renewal (Application)_20210707

awe`w„,ATE
ROY COOPER IS _ `
Governor , i
I i Y
JOHN NICHOLSON �•.�.,r
Interim Secretary °^" .
S.DANIEL SMITH NORTH CAROLINA I
Director Environmental Quality
July 07, 2021
Haw River Nutrient Compliance Association
Attn: Tonya Mann, President
Box 3136
Greensboro, NC 27402-3136
Subject: Permit Renewal
Application No. NCC000003
Haw River Nutrient Compliance Association
Guilford County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 6, 2021 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deQ.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely, e
• , ' • rb
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
• DE Q' North Carolina Department of Environmental Quality Division of Water Resources
Winston-Salem Regional Office 450 West Hanes Mill Road.Suite 300 W nston-Salem.North Carolina 27105
w� 336.7769BOO

HAW RIVER NUTRIENT COMPLIANCE ASSOCIATIONRECEIVED
Box 3136
GREENSBORO, NORTH CAROLINA 27402-31 36 ,JUL 0 6 2021
NCDEQIDWRINPDES
June 30, 2021 (via email and USPS Certified Mail Return Receipt 7003 1680 0001 0765 8961)
Mr. Mike Templeton(via email and Certified Return Receipt 7003 1680 0001 0765 8961
NCDEQ DWR Wastewater Permitting Section
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Haw River Nutrient Compliance Association
NPDES Permit NCC000003 Application for Renewal
Dear Mike,
On behalf of the Haw River Nutrient Compliance Association(HRNCA), I am pleased to submit
the application for renewal of NPDES Permit NCC000003. We have enclosed one original and
two copies of the required information as per the NCDEQ website.
Pertinent Background Information on the Haw River Nutrient Compliance Association
As you are aware,the potential membership of the HRNCA is limited to the following
municipalities: Burlington, Graham, Greensboro, Mebane and Reidsville and all are current
members.
• No major or minor modifications are requested in this NPDES permit renewal package which
only addresses total phosphorus (TP).
• The purpose of the HRNCA remains the same. We will not pursue nutrient trades or leases.
Rather, at the end of the year, the association will use the group permit as a compliance
benchmark with the sum of the individual Co-Permittees' allowable delivered loads
established in the Jordan Lake Rules.
• The required 5-year report covers the period from the issuance of the permit on January 1,
2017 through December 31, 2021, a period of 4 years.
The following items are enclosed(1 original, 2 copies):
• EPA Form 3510-1 NPDES Permit General Information
• EPA Form 3510-2A NPDES Permit Application
• HRNCA NPDES Co-Permittee Signatory Pages (Total of 6)
• HRNCA Total Phosphorus 5-Year Report and Allocation Summary CY2017-CY2020

Letter to Mike Templeton from HRNCA re:NPDES Permit Renewal 6-30-2021 Page 2
EPA Form 3510-2A NPDES Permit Application Notes:
As you know,many sections of this EPA NPDES Permit Application Form were not applicable
to a group permit renewal and most sections have been noted as"N/A or Not Applicable". The
following explanations and information may be useful for the permit writer:
Section 1. Facility Information
Co-Permittee NPDES# Design Flow Receiving Water
City of Burlington-East NC0023868 12 MGD Haw River
City of Burlington-South NC0023876 12 MGD Big Alamance Creek
City of Graham NC0021211 3.5 MGD Haw River
City of Greensboro NC0047384 40 MGD1 South Buffalo Creek
City of Mebane NC0021474 2.5 MGD Moadam Creek
City of Reidsville NC0024881 7.5 MGD Haw River
Current Total Design Flow 77.5 MGD
i Greensboro design flow will be 56 MGD upon completion of the BNR project in CY 2021
• Section 1.4-All Co-Permittees are the owners and operators of the facilities
• Section 1.7 - All Co-Permittees have 100% separate sanitary sewer systems
• Section 1.23 -None of the 6 facilities or 5 Co-Permittees employ a contractor for operational
or maintenance responsibilities
Section 2. Additional Information
• Section 2.5-2.7 - Several Co-Permittees are under construction or have plans for
improvements, but not specifically related to Total Phosphorus,the focus of NPDES Permit
NCC000003. NCDEQ is aware of all improvement activities.
Section 3. Information on Effluent Discharges and Section 4. Industrial Discharges...
• The Co-Permittees discharge through 6 separate outfalls and:
- All discharge daily to Waters of the United States
- All use chlorine as a disinfectant
- All conduct Whole Effluent Toxicity quarterly and none have been required to
complete a Toxicity Reduction Evaluation
- All have NCDEQ approved Pretreatment Programs
Section 5. Combined Sewer Overflows [section Not Applicable]
• All Co-Permittees have 100% separate sanitary sewer systems

Letter to Mike Templeton from HRNCA re: NPDES Permit Renewal 6-30-2021 Page 3
Section 6. Checklist and Certification Statement
• EPA Form 3510-2A has been signed by the president of the HRNCA and 6 separate Co-
Permittee Signature Forms with wet signatures are also included with the renewal
application.
• Data TABLES A-F are not applicable because this is a group permit.
We appreciate the guidance and assistance you have provided to the association over the past
five years and we look forward to working with you during the permit renewal process.
If you have any questions or need additional information,please do not hesitate to contact me at
336-570-6721 or by email at [e-mail] or contact Martie Groome at
[e-mail].
Sincerely,
onya Mann, City of Graham Utilities Director
President, Haw River Nutrient Compliance Association
cc: Bob Patterson, City of Burlington(via email)
Michael Borchers, City of Greensboro (via email)
Dennis Hodge, City of Mebane (via email)
Jerry Rothrock, City of Reidsville (via email)
Lon Snider/Jenny Graznak,NCDEQ Winston-Salem Regional Office (via email)
Martie Groome/Alicia Goots, City of Greensboro (via email)

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(Group Permit) Haw River Nutrient Comp.Assoc OMB No.2040-0004
Form U.S.Environmental Protection Agency RECEIVED
1 .SEPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION JUL 0 6 2021
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 12
treatment works? 1. . treating domestic sewage?
If yes, STOP. Do NOT complete ❑✓ No If yes, STOP. Do NOT ❑✓ No
Form 1.Complete Form 2A. complete Form 1. Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial, mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
oYes 4 Complete Form 1 ❑✓ No Yes 4 Complete Form �✓ No
o_ and Form 2B. 1 and Form 2C.
1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
mining,or silvicultural facility that has not yet commercial, mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
Yes 4 Complete Form 1 E✓ No ❑ Yes 4 Complete Form No
ce and Form 2D. 1 and Form 2E.
°' 1.2.5 Is the facility a new or existing facility whose
discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
❑ Yes 4 Complete Form 1 ❑✓ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2. NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
Haw River Nutrient Compliance Association(HRNCA)(Group NPDES Permit)
0 2.2 EPA Identification Number
Co
V
0
J
2.3 Facility Contact
Name(first and last) Title Phone number
.a
Tonya Mann President HRNCA [phone]
6721
Q I
rn Email address
[e-mail]
2.4 Facility Mailing Address
co Street or P.O. box
Post Office Box 3136
City or town State ZIP code
Greensboro NC 27402-3136
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(Group Permit) Haw River Nutrient Comp.Assoc OMB No.2040-0004
g 2.5 Facility Location
Street, route number,or other specific identifier
C
Q o
�U
C 0 County name County code(if known)
g
E City or town State ZIP code
z �
SECTION 3. SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
4952 All Co-Permittees are Publicly Owned Treatment Works(POTWs)
U)
c)
0
0
co
Z 3.2 NAICS Code(s) Description(optional)
fs 221320 All Co-Permittees are POTWs
U
N
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
NOT APPLICABLE(Group NPDES Permit)All Co-Permittees own and operate individual POTWs.
0 4.2 Is the name you listed in Item 4.1 also the owner?
0 ❑ Yes ❑ No
4.3 Operator Status
et) ❑ Public—federal ❑ Public—state ❑✓ Other public(specify)Municipal
o ❑ Private ❑ Other(specify)
4.4 Phone Number of Operator
= 4.5 Operator Address
Street or P.O. Box
h
City or town State ZIP code
0 0
is
Email address of operator
0
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
c -0 5.1 Is the facility located on Indian Land?
J ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(Group Permit) Haw River Nutrient Comp.Assoc OMB No.2040-0004
•ECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
❑ NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
water) fluids)
See Form 2A Attachments
c'• E
w d ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
a
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
.ECTION 7.MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
❑Yes ✓❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
•ECTION 8.NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
The Haw River Nutrient Compliance Association(HRNCA)is a non-profit corporation with five municipal members
that own and operate six wastewater treatment facilities that discharge to the Haw River. The members are as
follows:Burlington,Graham,Greensboro,Mebane,and Reidsville.The HRNCA holds NPDES Permit NCC000003,a
group permit that includes the Jordan Lake Rules Total Phosphorus allocations of all Co-Permittees. (The HRNCA
m does not pursue trades,leases,or sale of Total Phosphorus allocations within the Association. (Bather,at the end of
each calendar year,the association uses the group permit as a compliance benchmark.
co
.ECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
❑ Yes ❑ No 4 SKIP to Item 10.1.
R 9.2 Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
• ' 40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
o CD
O co
C.) ;° NOT APPLICABLE(Group NPDES Permit)
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply.Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
d Section 301(n)) 302(b)(2))
El Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(Group Permit) Haw River Nutrient Comp.Assoc OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a)and(d))
11.1 In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑✓ Section 2: Name, Mailing Address, and Location ❑ wl attachments
❑✓ Section 3: SIC Codes El w/attachments
❑ Section 4: Operator Information ❑ w/attachments
❑ Section 5: Indian Land El w/attachments
❑ Section 6: Existing Environmental Permits ❑ w/attachments
w/topographic
El Section 7: Map ❑ map ❑ w/additional attachments
17'3cn
o ❑✓ Section 8: Nature of Business El wl attachments
El Section 9:Cooling Water Intake Structures ❑ w/attachments
cp
❑✓ Section 10:Variance Requests ❑ w/attachments
N_ ❑✓ Section 11: Checklist and Certification Statement ❑ wl attachments
' Y
11.2 Certification Statement
s
U
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the
information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fine and imprisonment for knowing violations.
Name(print or type first and last name) Official title
Tonya Mann President-Haw River Nutrient Compliance Association
Signature Date signed
,,..7 G, �Y• G • 2g- 2,0 2-I
EPA Form 3510-1(revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
Form U.S.Environmental Protection Agency
2A EPA Application for NPDES Permit to Discharge Wastewater
NPDES NEW AND EXISTING PUBLICLY OWNED TREATMENT WORKS
SECTION 1. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and (9))
1.1 Facility name
Haw River Nutrient Compliance Association
Mailing address(street or P.O. box)
P.0. Box 3136
City or town State ZIP code
0 Greensboro NC 27402-3136
7-1
Contact name(first and last) Title Phone number Email address
8 Tonya Mann President [phone] [e-mail]
Location address(street,route number,or other specific identifier) ❑ Same as mailing address
w NOT APPLICABLE-GROUP PERMIT
w
City or town State ZIP code
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑✓ No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
✓❑ Yes 0 No 4 SKIP to Item 1.4.
Applicant name
AAAASEE INDIVIDUAL CO-PERMITTEE NPDES PERMITS for Burlington,Graham,Greensboro,Mebane and Reidsville
Applicant address(street or P.O. box)
0
oCity or town State ZIP code
c
Contact name(first and last) Title Phone number Email address
Q
0_
a 1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
0 Owner 0 Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
0Facility 0 Applicant ❑ Facility and applicant
(they are one and the same)
1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit
w number for each.)
Existing Environmental Permits
a ✓❑ NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
E AAAA
c
o ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
rn
_4 ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
404)
EPA Form 3510-2A(Revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type
Served Served (indicate percentage) Ownership Status
%separate sanitary sewer 0 Own ❑ Maintain
-0 AAAA w AAAA %combined storm and sanitary sewer ❑ Own 0 Maintain
w ❑ Unknown ❑ Own D Maintain
_ %separate sanitary sewer ❑ Own 0 Maintain
%combined storm and sanitary sewer ❑ Own ❑ Maintain
03
0 Unknown 0 Own ❑ Maintain
o %separate sanitary sewer ❑ Own ❑ Maintain
a
-cs_ %combined storm and sanitary sewer ❑ Own El Maintain
co 0 Unknown ❑ Own 0 Maintain
d %separate sanitary sewer ❑ Own 0 Maintain
%combined storm and sanitary sewer ❑ Own ❑ Maintain
_ ❑ Unknown ❑ Own ❑ Maintain
-40 Total
°' Population
c� Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of ° °
sewer line(in miles) /° /°
z' 1.8 Is the treatment works located in Indian Country?
c
o ❑ Yes No
U
c 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
VS
c ❑ Yes ❑✓ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
AAAA mgd
y Annual Average Flow Rates(Actual)
Two Years Ago Last Year This Year
0
o N/A mgd N/A mgd N/A mgd
Maximum Daily Flow Rates(Actual)
o Two Years Ago Last Year This Year
N/A mgd N/A mgd N/A mgd
H 1.11 Provide the total number of effluent discharge points to waters of the United States by type.
o Total Number of Effluent Discharge Points by Type
a a Constructed
w F Combined Sewer
' a Treated Effluent Untreated Effluent Overflows Bypasses Emergency
- -0Overflows
U
H
i5 N/A N/A N/A N/A N/A
EPA Form 3510-2A(Revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
Outfalls Other Than to Waters of the United States
1.12 Does the POTW discharge wastewater to basins, ponds,or other surface impoundments that do not have outlets for
discharge to waters of the United States?
❑ Yes ❑✓ No 4 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume Continuous or Intermittent
Location Discharged to Surface (check one)
Impoundment
D Continuous
gpd 0 Intermittent
❑ Continuous
gpd 0 Intermittent
❑ Continuous
gpd ❑ Intermittent
2 1.14 Is wastewater applied to land?
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
0 1.15 Provide the land application site and discharge data requested below.
y Land Application Site and Discharge Data
Continuous or
Location Size Average Daily Volume Intermittent
a' Applied (check one)
ere
acres d 0 Continuous
gp ❑ Intermittent
acres d ❑ Continuous
o gp ❑ Intermittent
0 Continuous
acres gpd ❑ Intermittent
1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes m No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck, pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O. box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
EPA Form 3510-2A(Revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
1.20 In the table below, indicate the name, address,contact information, NPDES number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name Mailing address(street or P.O. box)
03
City or town State ZIP code
0
U
a Contact name(first and last) Title
0
d Phone number Email address
o NPDES number of receiving facility(if any) ❑None Average daily flow rate mgd
0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not
have outlets to waters of the United States(e.g., underground percolation, underground injection)?
cp
a,
❑ Yes ❑✓ No 4 SKIP to Item 1.23.
0 1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
o Disposal Location of Size of Annual Average Continuous or Intermittent
R Method Disposal Site Disposal Site Daily Discharge (check one)
Description Volume
w acres d El Continuous
gp ❑ Intermittent
❑ Continuous
acres gpd ❑ Intermittent
❑ Continuous
acres gpd 0 Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply.
d (n Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
) ❑ Discharges into marine waters(CWA ❑ Water quality related effluent limitation(CWA Section
cs-
Section 301(h)) 302(b)(2))
❑✓ Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility of a contractor?
❑ Yes ❑✓ No +SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
0
Contractor name
is (company name)
0
Mailing address
(street or P.O. box)
City,state,and ZIP
R
code
Contact name(first and
0 last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
EPA Form 3510-2A(Revised 3-19) Page 4

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
o Outfalls to Waters of the United States
2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o ❑✓ Yes ❑ No 4 SKIP to Section 3.
= 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
R and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
NOT APPLICABLE AAAA
CO
0
1E 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
fiLa
specific requirements.)
0
0
0 ❑ Yes ❑✓ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
3 2 (See instructions for specific requirements.)
O 0,
" o ❑ Yes ❑✓ No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
1. NOT APPLICABLE^^^^
wm
E
2.
E
0
3.
w
4.
co
2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected Attainment of
Scheduled Begin End Begin
Outfalls Operational
2 Improvement Construction Construction Discharge
(from above) (list outfall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DDM(YY) Level
cp
number) (MM/DD/YYYY)
cp
1.
2.
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
❑ Yes ❑ No ✓❑ None required or applicable
Explanation:
EPA Form 3510-2A(Revised 3-19) Page 5

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
SECTION 3. INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.)
Outfall Number N/A Outfall Number Outfall Number
State
County
Y
City or town
o Distance from shore ft. ft. ft.
a
Depth below surface ft. ft. ft.
43
Average daily flow rate mgd mgd mgd
Latitude
Longitude "
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
❑ Yes ✓❑ No 4 SKIP to Item 3.4.
R 3.3 If so,provide the following information for each applicable outfall.
Outfall Number-WA-1_ Outfall Number Outfall Number
0
0 Number of times per year
s discharge occurs
a Average duration of each
discharge(specify units)
oAverage flow of each mgd mgd mgd
discharge
in Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑✓ No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
Outfall Number N/A Outfall Number Outfall Number
d
ci
u5 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more
discharge points?
w ❑✓ Yes ❑ No 4SKIP to Section 6.
EPA Form 3510-2A(Revised 3-19) Page 6

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc.
OMB No.2040-0004
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number N/A Outfall Number Outfall Number
Receiving water name ^^^^
Name of watershed, river,
0 or stream system
a U.S. Soil Conservation
N Service 14-digit watershed
o code
Name of state
management/river basin
co
U.S. Geological Survey
8-digit hydrologic
cc cataloging unit code
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number N/A Outfall Number Outfall Number
Highest Level of 0 Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
O Secondary 0 Secondary 0 Secondary
❑ Advanced 0 Advanced 0 Advanced
❑ Other(specify) 0 Other(specify) 0 Other(specify)
0
Design Removal Rates by
U)
Outfall
BOD5 or CBOD5
TSS
❑ Not applicable 0 Not applicable 0 Not applicable
Phosphorus
0 Not applicable 0 Not applicable 0 Not applicable
Nitrogen %
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
EPA Form 3510-2A(Revised 3-19) Page 7

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season,describe below.
AAAA
a)
0
0
Outfall Number N/A Outfall Number Outfall Number
0
Disinfection type
H
0
= Seasons used
co
Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable
❑ Yes ❑ Yes ❑ Yes
❑ No ❑ No El No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ Yes ❑ No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑ No -4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number N/A Outfall Number Outfall Number
Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge
AAAA
water
Number of tests of receiving
water
3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
❑ Yes ❑ No 4 SKIP to Item 3.16.
3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
= 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes ✓❑ No
3.16 Does one or more of the following conditions apply?
• The facility has a design flow greater than or equal to 1 mgd.
• The POTW has an approved pretreatment program or is required to develop such a program.
• The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C, must
sample other additional parameters(Table D),or submit the results of WET tests for acute or chronic toxicity for
each of its discharge outfalls(Table E).
❑ Yes 4 Complete Tables C, D,and E as ❑ No SKIP to Section 4.
applicable.
3.17 Have you completed monitoring for all applicable Table C pollutants and attached the results to this application
package?
❑ Yes ✓❑ No
3.18 Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
attached the results to this application package?
El Yes ❑ No additional sampling required by NPDES
permitting authority.
EPA Form 3510-2A(Revised 3-19) Page 8

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No • Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
El Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MM/DD/YYYY)
NOT APPLICABLE
-o
w 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
d 3.23 Describe the cause(s)of the toxicity:
d
w
w
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES .ermittin• authorit .
SECTION 4.INDUSTRIAL DISCHARGES AND HAZARDOUS WASTES(40 CFR 122.21(j)(6)and(7))
4.1 Does the POTW receive discharges from SIUs or NSCIUs?
❑ Yes ❑ No 4 SKIP to Item 4.7.
w 4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW.
Number of SIUs Number of NSCIUs
N AAAA AAAA
0
4.3 Does the POTW have an approved pretreatment program?
co
_ ❑ Yes ❑ No
R 4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially
identical to that required in Table F: (1)a pretreatment program annual report submitted within one year of the
F.52 application or(2)a pretreatment program?
❑ Yes ❑ No 4 SKIP to Item 4.6.
0
u 4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4. SKIP to Item 4.7.
a
- 4.6 Have you completed and attached Table F to this application package?
❑ Yes ❑ No
EPA Form 3510-2A(Revised 3-19) Page 9

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
4.7 Does the POTW receive,or has it been notified that it will receive, by truck, rail,or dedicated pipe,any wastes that are
regulated as RCRA hazardous wastes pursuant to 40 CFR 261?
❑ Yes El No 4 SKIP to Item 4.9.
4.8 If yes,provide the following information:
Annual
Hazardous Waste Waste Transport Method Amount of Units
Number (check all that apply) Waste
Received
❑ Truck Cl Rail
❑ Dedicated pipe ❑ Other(specify)
0
❑ Truck ❑ Rail
❑ Dedicated pipe ❑ Other(specify)
0
N ❑ Truck ❑ Rail
CO
❑ Dedicated pipe El Other(specify)
Er'
4.9 Does the POTW receive,or has it been notified that it will receive,wastewaters that originate from remedial activities,
including those undertaken pursuant to CERCLA and Sections 3004(7)or 3008(h)of RCRA?
El Yes El No 4 SKIP to Section 5.
4.10 Does the POTW receive(or expect to receive)less than 15 kilograms per month of non-acute hazardous wastes as
specified in 40 CFR 261.30(d)and 261.33(e)?
❑ Yes 4 SKIP to Section 5. El No
4.11 Have you reported the following information in an attachment to this application:identification and description of the
site(s)or facility(ies)at which the wastewater originates;the identities of the wastewater's hazardous constituents;and
the extent of treatment, if any,the wastewater receives or will receive before entering the POTW?
❑ Yes ❑ No
SECTION 5.COMBINED SEWER OVERFLOWS(40 CFR 122.21(j)(8))
5.1 Does the treatment works have a combined sewer system?
El Yes ❑� No 4SKIP to Section 6.
5.2 Have you attached a CSO system map to this application?(See instructions for map requirements.)
c ❑
Q Yes ElNo
5.3 Have you attached a CSO system diagram to this application?(See instructions for diagram requirements.)
❑ Yes ❑ No
EPA Form 3510-2A(Revised 3-19) Page 10

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
5.4 For each CSO outfall, provide the following information. (Attach additional sheets as necessary.)
CSO Outfall Number — CSO Outfall Number CSO Outfall Number
= City or town NOT APPLICABLE
0
�- State and ZIP code
U
o County
co
° ° °
c Latitude
0
o 0 „
u) Longitude 0
1 II Distance from shore ft. ft. ft.
Depth below surface ft. ft. ft.
5.5 Did the POTW monitor any of the following items in the past year for its CSO outfalls?
CSO Outfall Number CSO Outfall Number CSO Outfall Number
Rainfall 0 Yes 0 No 0 Yes ❑ No 0 Yes ❑ No
a)
c
o CSO flow volume CI Yes CI No CI Yes CI No CI Yes CI No
w.
so
CSO pollutant ❑ Yes ❑ No 0 Yes 0 No ❑ Yes 0 No
o concentrations .
co
C' Receiving water quality ❑ Yes ❑ No ❑ Yes 0 No ❑ Yes ❑ No
CSO frequency 0 Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No
Number of storm events ❑ Yes 0 No ❑ Yes 0 No ❑ Yes ❑ No
5.6 Provide the following information for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number CSO Outfall Number
w Number of CSO events in
>- events events events
H the past year
R
0 Average duration per hours hours hours
event El Actual or❑ Estimated ❑Actual or❑ Estimated 0 Actual or El Estimated
Lu
o Average volume per event million gallons million gallons million gallons
`_c) 0 Actual or❑ Estimated 0 Actual or El Estimated ❑Actual or 0 Estimated
Minimum rainfall causing inches of rainfall inches of rainfall inches of rainfall
a CSO event in last year 0 Actual or 0 Estimated 0 Actual or❑ Estimated ❑Actual or 0 Estimated
EPA Form 3510-2A(Revised 3-19) Page 11

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
5.7 Provide the information in the table below for each of your CSO outfalls.
CSO Outfall Number CSO Outfall Number CSO Outfall Number_
Receiving water name
Name of watershed/
stream system
U.S. Soil Conservation ❑ Unknown ❑ Unknown 0 Unknown
Service 14-digit
watershed code
> known)
(if
o )
Name of state
management/river basin
co U.S. Geological Survey ❑ Unknown ❑ Unknown 0 Unknown
8-Digit Hydrologic Unit
Code(if known)
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
exam'les
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1 Column 2
Section 1: Basic Application
Information for All Applicants ❑ wl variance request(s) ❑ w/additional attachments
❑ Section 2:Additional ❑ w/topographic map ❑ w/process flow diagram
Information ✓❑ w/additional attachments
❑ w/Table A ❑ w/Table D
❑ Section 3: Information on ❑ w/Table B ❑ w/Table E
Effluent Discharges
El w/Table C ❑ wl additional attachments
Section 4: Industrial ❑ w/SIU and NSCIU attachments ❑ w/Table F
co ❑ Discharges and Hazardous
s Wastes ❑ w/additional attachments
w
❑ Section 5:Combined Sewer ❑ w/CSO map ❑ w/additional attachments
Overflows
❑ wl CSO system diagram
❑ Section 6:Checklist and ✓❑ w/attachments
U)
Certification Statement
�e 6.2 Certification Statement
U
0
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
TONYA MANN,HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION PRESIDENT
Signature Date signed
(2.1"4-)—
EPA Form 3510-2A(Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. N/A OMB No.2040-0004
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Number of Analytical ML or MDL
Value Units Value Units Method1 (include units)
Samples
Biochemical oxygen demand
0 BOD5 or❑CBOD5 NOT APPLICABLE ❑ML
❑MDL
(report one)
Fecal coliform ❑ML
❑MDL
Design flow rate
pH(minimum)
pH (maximum)
•
Temperature(winter)
Temperature(summer)
Total suspended solids(TSS) ❑IMDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19) Page 13

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. N/A OMB No.2040-0004
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Methods Include units
Value Units Value Units Samples Methods (
)
o ML
Ammonia(as N) NOT APPLICABLE 0 MDL
Chlorine ❑ML
(total residual,TRC)2 0 MDL
0 ML
Dissolved oxygen ❑MDL
Nitrate/nitrite ❑ML
❑MDL
0 ML
Kjeldahl nitrogen ❑MDL
0 ML
Oil and grease ❑MDL
0 ML
Phosphorus ❑MDL
Total dissolved solids ❑ML
❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process,and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3-19) Page 15

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. N/A OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Methods (include units)
Samples
Metals,Cyanide,and Total Phenols
o ML
Hardness(as CaCO3) NOT APPLICABLE 0 MDL
0 ML
Antimony,total recoverable ❑MDL
Arsenic,total recoverable ❑ML
❑MDL
Beryllium,total recoverable 0 ML
❑MDL
Cadmium, total recoverable ❑ML
❑MDL
Chromium, total recoverable ❑ML
❑MDL
0 ML
Copper, total recoverable ❑MDL
Lead,total recoverable ❑ML
❑MDL
0 ML
Mercury, total recoverable ❑MDL
Nickel,total recoverable ❑ML
❑MDL
Selenium,total recoverable ❑ML
❑MDL
Silver, total recoverable ❑ML
❑MDL
Thallium,total recoverable ❑ML
❑MDL
Zinc, total recoverable ❑ML
❑MDL
❑ML
Cyanide ❑MDL
Total phenolic compounds ❑ML
❑MDL
Volatile Organic Compounds
Acrolein NOT APPLICABLE ❑ML
0 MDL
Acrylonitrile 0 ML
❑MDL
Benzene 0 ML
❑MDL
Bromoform 0 ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 17

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. N/A OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
Carbon tetrachloride o ML
❑MDL
Chlorobenzene ❑ML
❑MDL
Chlorodibromomethane ❑ML
❑MDL
❑ML
Chloroethane
❑MDL
CI ML
2-chloroethylvinyl ether ❑MDL
❑ML
Chloroform ❑MDL
Dichlorobromomethane ❑ML
❑MDL
❑ML
1,1-dichloroethane ❑MDL
1,2-dichloroethane ❑ML
❑MDL
CI ML
trans-1,2-dichloroethylene ❑MDL
ML
1,1-dichloroethylene ❑MDL
❑ML
1,2-dichloropropane ❑MDL
0 ML
1,3-dichloropropylene ❑MDL
❑ML
Ethylbenzene ❑MDL
CI ML
Methyl bromide ❑MDL
CI ML
Methyl chloride ❑MDL
0 ML
Methylene chloride ❑MDL
1,1,2,2-tetrachloroethane CI ML
❑MDL
❑ML
Tetrachloroethylene ❑MDL
❑ML
Toluene ❑MDL
1,1,1-trichloroethane CI ML
❑MDL
1,1,2-trichloroethane CI ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 18

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. N/A
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Methods (include units)
Samples
ML
Trichloroethylene ❑MDL
ML
Vinyl chloride ❑MDL
Acid-Extractable Compounds
p-chloro-m-cresol NOT APPLICABLE ❑ML
❑MDL
2-chlorophenol ❑ML
❑MDL
ML
2,4-dichlorophenol ❑MDL
ML
2,4-dimethylphenol ❑MDL
4,6-dinitro-o-cresol ❑ML
❑MDL
2,4-dinitrophenol ❑ML
❑MDL
2-nitrophenol ❑ML
❑MDL
4-nitrophenol ❑ML
❑MDL
Pentachlorophenol ❑ML
❑MDL
Phenol ❑ML
❑MDL
2,4,6-trichlorophenol ❑ML
❑MDL
Base-Neutral Compounds
Acenaphthene NOT APPLICABLE ❑ML
❑MDL
0 ML
Acenaphthylene ❑MDL
Anthracene ❑ML
❑MDL
Benzidine ❑ML
❑MDL
Benzo(a)anthracene ❑ML
❑MDL
Benzo(a)pyrene ❑ML
❑MDL
3,4-benzofluoranthene ❑ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 19

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. N/A OMB No.2040-0004
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
❑ML
Benzo(ghi)perylene ❑MDL _
0 ML
Benzo(k)fluoranthene ❑MDL
❑ML
Bis(2-chloroethoxy)methane ❑MDL
❑ML
Bis(2-chloroethyl)ether ❑MDL
❑ML
Bis(2-chloroisopropyl)ether ❑MDL
❑ML
Bis(2-ethylhexyl)phthalate ❑MDL
0 ML
4-bromophenyl phenyl ether ❑MDL
❑ML
Butyl benzyl phthalate ❑MDL
❑ML
2-chloronaphthalene ❑MDL
❑ML
4-chlorophenyl phenyl ether ❑MDL _
❑ML
Chrysene ❑MDL
0 ML
di-n-butyl phthalate ❑MDL
❑ML
di-n-octyl phthalate ❑MDL
❑ML
Dibenzo(a,h)anthracene ❑MDL
❑ML
1,2-dichlorobenzene ❑MDL
❑ML
1,3-dichlorobenzene
❑MDL
❑ML
1,4-dichlorobenzene
❑MDL
❑ML
3,3-dichlorobenzidine
0 MDL
❑ML
Diethyl phthalate 0 MDL
❑ML
Dimethyl phthalate ❑MDL
❑ML
2,4-dinitrotoluene
0 MDL
❑ML
2,6-dinitrotoluene 0 MDL
EPA Form 3510-2A(Revised 3-19) Page 20

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. N/A
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant
Value Units Value Units Number of Methods (include units)
Samples
o ML
1,2-diphenylhydrazine ❑MDL
Fluoranthene ❑ML
❑MDL
Fluorene 0 ML
❑MDL
Hexachlorobenzene 0 ML
❑MDL
Hexachlorobutadiene ❑ML
❑MDL
0 ML
Hexachlorocyclo-pentadiene ❑MDL
Hexachloroethane 0 ML
❑MDL
0 ML
Indeno(1,2,3-cd)pyrene ❑MDL
0 ML
lsophorone ❑MDL
❑ML
Naphthalene ❑MDL
Nitrobenzene 0 ML
❑MDL
0 ML
N-nitrosodi-n-propylamine ❑MDL
0 ML
N-nitrosodimethylamine ❑MDL
0 ML
N-nitrosodiphenylamine ❑MDL
Phenanthrene ❑ML
o MDL
0 ML
Pyrene ❑MDL
1,2,4-trichlorobenzene ❑ML
❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I, Subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19) Page 21

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc.
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Pollutant Maximum Daily Discharge Average Daily Dischar a Analytical ML or MDL
(list) Value Units Value Units Number of Method1 (include units)
Samples
❑✓ No additional sampling is required by NPDES permitting authority.
❑ML
NOT APPLICABLE
0 MDL
❑ML
❑MDL
❑ML
❑MDL
0 ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required
under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A(Revised 3-19) Page 23

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc.
TABLE E. EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results.
Test Information
Test Number Test Number Test Number
Test species NOT APPLICABLE
Age at initiation of test
Outfall number
Date sample collected
Date test started
Duration
Toxicity Test Methods
Test method number
Manual title
Edition number and year of publication
Page number(s)
Sample Type
Check one: ❑ Grab 0 Grab 0 Grab
❑ 24-hour composite ❑ 24-hour composite ❑ 24-hour composite
Sample Location
Check one: 0 Before Disinfection 0 Before Disinfection ❑ Before disinfection
❑After Disinfection 0 After Disinfection 0 After disinfection
❑ After Dechlorination ❑ After Dechlorination 0 After dechlorination
Point in Treatment Process
Describe the point in the treatment process
at which the sample was collected for each
test.
Toxicity Type
Indicate for each test whether the test was 0 Acute ❑Acute ❑Acute
performed to asses acute or chronic toxicity,
or both. (Check one response.) ❑ Chronic ❑ Chronic ❑ Chronic
0 Both 0 Both 0 Both
EPA Form 3510-2A(Revised 3-19) Page 25

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
TABLE E.EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample.Copy the table to report additional test results.
Test Number Test Number Test Number
Test Type
Indicate the type of test performed.(check one ❑ Static ❑ Static ❑ Static
response.)
❑ Static-renewal ❑ Static-renewal 0 Static-renewal
❑ Flow-through ❑ Flow-through 0 Flow-through
Source of Dilution Water
Indicate the source of dilution water. (Check ❑ Laboratory water ❑ Laboratory water ❑ Laboratory water
one response.)
❑ Receiving water ❑ Receiving water ❑ Receiving water
If laboratory water,specify type.
If receiving water, specify source.
Type of Dilution Water
Indicate the type of dilution water. If salt ❑ Fresh water ❑ Fresh water 0 Fresh water
water,specify"natural"or type of artificial
sea salts or brine used. ❑ Salt water(specify) ❑ Salt water(specify) ❑ Salt water(specify)
Percentage Effluent Used
Specify the percentage effluent used for all
concentrations in the test series.
Parameters Tested
Check the parameters tested. 0 pH ❑ Ammonia 0 pH ❑ Ammonia ❑ pH 0 Ammonia
❑ Salinity ❑ Dissolved oxygen 0 Salinity ❑ Dissolved oxygen 0 Salinity 0 Dissolved oxygen
❑ Temperature ❑ Temperature El Temperature
Acute Test Results
Percent survival in 100%effluent 0/0
LC50
95%confidence interval
Control percent survival 0/0
EPA Form 3510-2A(Revised 3-19) Page 26

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19
OMB No.2040-0004
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc.
TABLE E. EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY
The table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results.
Test Number Test Number Test Number
Acute Test Results Continued
Other(describe)
Chronic Test Results
NOEC
IC25 %
Control percent survival % % %
Other(describe)
Quality Control/Quality Assurance
Is reference toxicant data available? ❑ Yes ❑ No ❑ Yes ❑ No 0 Yes 0 No
Was reference toxicant test within
acceptable bounds? El Yes ❑ No ❑ Yes El No El Yes El No
What date was reference toxicant test run
(MM/DDIYYYY)?
Other(describe)
EPA Form 3510-2A(Revised 3-19) Page 27

This page intentionally left blank.

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
TABLE F.INDUSTRIAL DISCHARGE INFORMATION
Response space is provided for three SIUs.Copy the table to report information for additional Sills.
SIU_ SIU_ SIU
Name of SIU NOT APPLICABLE
Mailing address(street or P.O. box)
City, state, and ZIP code
Description of all industrial processes that affect
or contribute to the discharge.
List the principal products and raw materials that
affect or contribute to the SIU's discharge.
Indicate the average daily volume of wastewater
discharged by the SIU. gpd gpd gpd
How much of the average daily volume is
attributable to process flow? gpd gpd gpd
How much of the average daily volume is
attributable to non-process flow? gpd gpd gpd
Is the SIU subject to local limits?
❑ Yes 0 No 0 Yes 0 No 0 Yes 0 No
Is the SIU subject to categorical standards?
0 Yes 0 No 0 Yes 0 No 0 Yes ❑ No
EPA Form 3510-2A(Revised 3-19) Page 29

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NCC000003(GROUP PERMIT) Haw River Nutrient Comp.Assoc. OMB No.2040-0004
TABLE F.INDUSTRIAL DISCHARGE INFORMATION
Response space is provided for three SIUs. Copy the table to report information for additional Sills.
SIU SIU SIU
Under what categories and subcategories is the
SIU subject?
Has the POTW experienced problems(e.g.,
upsets,pass-through interferences)in the past 4.5 ❑ Yes ❑ No El Yes ❑ No ❑ Yes ❑ No
years that are attributable to the SIU?
If yes,describe.
EPA Form 3510-2A(Revised 3-19) Page 30

HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
CO-PERMITTEE INFORMATION AND APPLICATION FOR RENEWAL OF NPDES PERMIT
FOR TOTAL PHOSPHORUS DISCHARGE
AS CO-PERMITTEE WITH THE HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
FACILITY OWNER: CITY OF BURLINGTON
Contact Name: ROBERT C. PATTERSON, JR. Phone: [phone]
Email: [e-mail]
Contact Address: P. O. Box 1358, Burlington NC 27216
FACILITY OPERATOR: (if different than owner) SAME
FACILITY NAME: EAST BURLINGTON WWTP
NPDES Permit#: NC0023868 Permitted Flow: 12.0 MGD
Physical Address: 225 Stone Quarry Road, Burlington NC 27217
Physical Location: Latitude 36° 5' 47.8" N Longitude 79° 22' 25.5" W
Receiving Waters: HAW RIVER
Total Phosphorus Allocation End of Pipe: 24,270 lbs/year
Total Phosphorus Transport Factor: 69%
Total Phosphorus Allocation to Jordan Lake: 16,746 lbs/year
CERTIFICATION
(Must be signed by a person authorized to sign the facility's NPDES permit application)
I certify that the above information is, to the best of my knowledge and belief, true, accurate
and complete.
ROBERT C. PATTERSON, JR., WATER RESOURCES DIRECTOR
Name and Title
C oc7 / 9
Name (Signed) Date

HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
CO-PERMITTEE INFORMATION AND APPLICATION FOR RENEWAL OF NPDES PERMIT
FOR TOTAL PHOSPHORUS DISCHARGE
AS CO-PERMITTEE WITH THE HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
FACILITY OWNER: CITY OF BURLINGTON
Contact Name: ROBERT C. PATTERSON, JR. Phone: [phone]
Email: [e-mail]
Contact Address: P. O. Box 1358, Burlington NC 27216
FACILITY OPERATOR: (if different than owner) SAME
FACILITY NAME: SOUTH BURLINGTON WWTP
NPDES Permit#: NC0023876 Permitted Flow: 12.0 MGD
Physical Address: 2471 Boywood Road, Graham NC 27253
Physical Location: Latitude 36° 1' 4.5" N Longitude 79° 22' 26.4" W
Receiving Waters: BIG ALAMANCE CREEK
Total Phosphorus Allocation End of Pipe: 24,270 lbs/year
Total Phosphorus Transport Factor: 73%
Total Phosphorus Allocation to Jordan Lake: 17,717 Ibs/year
CERTIFICATION
(Must be signed by a person authorized to sign the facility's NPDES permit application)
I certify that the above information is, to the best of my knowledge and belief, true, accurate
and complete.
ROBERT C. PATTERSON, JR., WATER RESOURCES DIRECTOR
Name and Title
Rd4C PJ-es7> pi-, (75, -(c)ti
Name (Signed) Date

HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
CO-PERMITTEE INFORMATION AND APPLICATION FOR RENEWAL OF NPDES PERMIT
FOR TOTAL PHOSPHORUS DISCHARGE
AS CO-PERMITTEE WITH THE HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
FACILITY OWNER: CITY OF GRAHAM
Contact Name: TONYA MANN Phone: [phone]
Email: [e-mail]
Contact Address: P. O. Box Drawer 357, Graham NC 27253
FACILITY OPERATOR: (if different than owner) SAME
FACILITY NAME: GRAHAM WWTP
NPDES Permit#: NC0021211 Permitted Flow: 3.5 MGD
Physical Address: 1204 East Gilbreath Street, Graham NC 27253
Physical Location: Latitude 36° 02' 44" Longitude -79° 22' 06"
Receiving Waters: HAW RIVER
Total Phosphorus Allocation End of Pipe: 7079 lbs/year
Total Phosphorus Transport Factor: 71%
Total Phosphorus Allocation to Jordan Lake: 5026 lbs/year
CERTIFICATION
(Must be signed by a person authorized to sign the facility's NPDES permit application)
I certify that the above information is, to the best of my knowledge and belief, true, accurate
and complete.
TONYA MANN, CITY OF GRAHAM UTILITIES DIRECTOR
Name and Title
N e (Signed) Date

HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
CO-PERMITTEE INFORMATION AND APPLICATION FOR RENEWAL OF NPDES PERMIT
FOR TOTAL PHOSPHORUS DISCHARGE
AS CO-PERMITTEE WITH THE HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
FACILITY OWNER: CITY OF GREENSBORO
Contact Name: MICHAEL BORCHERS Phone: [phone]
Email: [e-mail]
Contact Address: P. O. Box 3136, Greensboro NC 27402-3136
FACILITY OPERATOR: (if different than owner) SAME
FACILITY NAME: T. Z. OSBORNE WWTP
NPDES Permit#: NC0047384 Permitted Flow: 40 MGD
Physical Address: 2350 Huffine Mill Road, McLeansville NC 27301
Physical Location: Latitude 36° 05' 45" Longitude 79° 41' 10"
Receiving Waters: South Buffalo Creek
Total Phosphorus Allocation End of Pipe: 112,044 _lbs/year
Total Phosphorus Transport Factor: 44%
Total Phosphorus Allocation to Jordan Lake: 49,299 lbs/year
CERTIFICATION
(Must be signed by a person authorized to sign the facility's NPDES permit application)
I certify that the above information is, to the best of my knowledge and belief, true, accurate
and complete.
MICHAEL BORCHERS, CITY OF GREENSBORO WATER RESOURCES DIRECTOR
Name and Title
( t
ame (Sig►fed) Date

HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
CO-PERMITTEE INFORMATION AND APPLICATION FOR RENEWAL OF NPDES PERMIT
FOR TOTAL PHOSPHORUS DISCHARGE
AS CO-PERMITTEE WITH THE HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
FACILITY OWNER: CITY OF MEBANE
Contact Name: DENNIS J. HODGE Phone: [phone]
Email: [e-mail]
Contact Address: 106 East Washington Street, Mebane NC 27302
FACILITY OPERATOR: (if different than owner) SAME
FACILITY NAME: MEBANE WWTP
NPDES Permit #: NC0021474 Permitted Flow: 2.5 MGD
Physical Address: 635 Corrigidor Road, Mebane NC 27302
Y g
Physical Location: Latitude 36° 05' 262" Longitude 79° 17' 143"
Receiving Waters: MOADAM CREEK
Total Phosphorus Allocation End of Pipe: 5056 lbs/year
Total Phosphorus Transport Factor: 55%
Total Phosphorus Allocation to Jordan Lake: 2781 lbs/year
CERTIFICATION
(Must be signed by a person authorized to sign the facility's NPDES permit application)
I certify that the above information is, to the best of my knowledge and belief, true, accurate
and complete.
DENNIS J. HODGE, CITY OF MEBANE WATER RESOURCES DIRECTOR
Name and Title
big/i021 - Qmiv's Hodye, 1060/,?6,290.2 I
Name igned) Date

HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
CO-PERMITTEE INFORMATION AND APPLICATION FOR RENEWAL OF NPDES PERMIT
FOR TOTAL PHOSPHORUS DISCHARGE
AS CO-PERMITTEE WITH THE HAW RIVER NUTRIENT COMPLIANCE ASSOCIATION
FACILITY OWNER: CITY OF REIDSVILLE
Contact Name: JERRY ROTHROCK Phone: [phone]
Email: [e-mail]
Contact Address: 1100 Vance Street, Reidsville NC 27320
FACILITY OPERATOR: (if different than owner) SAME
FACILITY NAME: REIDSVILLE WWTP
NPDES Permit#: NC0024881 Permitted Flow: 7.5 MGD
Physical Address: 407 BROAD STREET, REIDSVILLE NC 27320
Physical Location: Latitude 36° 19' 24.2" N Longitude 79° 39' 25.3" W
Receiving Waters: HAW RIVER @ NC 150 East
Total Phosphorus Allocation End of Pipe: 15,169 lbs/year
Total Phosphorus Transport Factor: 56%
Total Phosphorus Allocation to Jordan Lake: 8494 lbs/year
CERTIFICATION
(Must be signed by a person authorized to sign the facility's NPDES permit application)
I certify that the above information is, to the best of my knowledge and belief, true, accurate
and complete.
JERRY ROTHROCK, INTERIM PUBLIC WORKS DIRECTOR
Name and Title
Na (S� ed)
Date /1-.0

Haw River Nutrient Compliance Association
Five-Year Report - January 1, 2017 to December 31, 2020
Required by NPDES Permit #NCC000003 Part I.A.5.e.
The following narrative includes the five items required by Part I.A.5.e.:
1. Detailed listing of all membership changes and allowable changes in Total
Phosphorus (TP)Allocations of the Co-Permittee members during the term of
this permit
• The HRNCA membership (Graham, Greensboro, Mebane, Reidsville)
and individual TP allocations remained the same in CY 2017, CY 2018
and CY2019 (Total: 65,600 pounds/year Delivered to Jordan Lake).
• The North Buffalo Plant (NC0024325) was decommissioned in October
2017. Due to difference in transport factors, the Greensboro TP
allocation was reduced by 1471 pounds in CY2018.
• In July 2019, the HRNCA submitted a NPDES permit modification
package to NCDEQ in response to a City of Burlington request to join
the HRNCA. Burlington was approved as a Co-Permittee effective
January, 1, 2020 and the allocations from the East Burlington Plant
(NC0023868) and the South Burlington Plant (NC0023876) were
added to NPDES Permit NCC000003 (CY 2020 Total: 100,063
pounds/year Delivered to Jordan Lake).
2. Description of Association's nutrient control strategy during that time
• The approach of the HRNCA remained the same in that the members
will not pursue TP trades, leases, or sale within the Association.
• Rather, at the end of each calendar year, the association will use the
group permit as a compliance benchmark with the sum of the
individual Co-Permittees' allowable TP delivered loads stated in the
Jordan Lake Rules.
3. Summary of substantial new measures undertaken during that time to control
nutrient discharges
• Prior to the creation of the HRNCA, all Co-Permittees had total
phosphorus limits. Thus, Co-Permittees have long-established TP
removal systems and processes, so there were no substantial new
measures undertaken during the time-frame of this permit.
4. General assessment of progress made
• See chart on Page 2
5. Description of efforts planned for the upcoming permit term, if known
• The Co-Permittees will be investigating and exploring the addition of
Total Nitrogen (TN) to NPDES Permit NCC000003 during the
upcoming permit term.
Haw River Nutrient Compliance Association 2021 Five-Year Report (CY2017 to CY2020) page 1

Haw River Nutrient Compliance Association Five-Year Report
Total Phosphorus (TP) Loading Summary for Permit Renewal
NPDES Permit# NCC000003 Year: CY2017-CY2020
Association Members 2017, 2018, 2019: Graham, Greensboro, Mebane, Reidsville
Association Members 2020: Graham, Greensboro, Mebane, Reidsville, Burlington
END OF PIPE EOP TP DWR EOP TP Limit TP EOP Percent
Total Flow MG/Year Over(+) or
Calendar Year pounds/year pounds/year Under (-)
,
2017 13,642 95,800 140,819 -31.97
2018 15,083 117,502 139,348 -15.68
2019 15,229 79,520 139,348 -42.93
2020 20,143 101,285 187,888 -46.09
DELIVERED TO TP Delivered
Delivered To Lake TP DWR Lake TP Limit
LAKE Percent Over (+)
Calendar Year pounds/year pounds/year or Under (-)
2017 44,550 65,600 -32.09
2018 54,516 65,600 -16.90
I.
2019 36,865 65,600 -43.80
2020 50,077 100,063 -49.95
Haw River Nutrient Compliance Association 2021 Five-Year Report (CY2017 to CY2020) page 2